01/06/2021 – Morning & Afternoon shift – carla cornelius

Shift Report:

Fela arrived at Green Pastures just before 9:30. He chose to go upstairs after removing his shoes and outer wear. we did the board, and he chose the tongue drum rather than cards. So I put on some Herb Alpert jazz for him to play along to. We practised the makaton sign for popcorn as we made popcorn in the machine  and ate it with walnuts, pistachios and some pink salt. Afterwards I changed his tops to just a green vest for the gym as it was so hit. I packed his shorts to change into after his workout.

With some encouragement Fela did 50 minutes in total – arm cycle – 10, cross trainer – 15, rowing  – 8, upright bicycle – 5, treadmill – 8, skater – 8.  He got lots of praise or his efforts. He went to the disability loo then I assisted him to change his clothes. we then headed for home; on the way I offered him an apple and his flask of water. as we were nearing home, he asked for “plum” and said it very clearly. I read him the social story of Nadia coming to meet him whilst we were in the car and after lunch. He seemed okay with it.

Nadia arrived at 14:00 and stayed until 15:30. The visit went well and we did the board and Fela opted to go upstairs. We all followed him upstairs and he chose to play his drums again rather than cards. I put on some appropriate music. Fela was signing for yogurt and we sorted through some old TEACCH cards; Fela chose all the fruit he wanted on his salad and “orange juice” cards. We all had ice lollies together as it was so hot.

After Nadia left, Fela had his fruit salad and yogurt. I then asked him if he wanted to lie down and he said no, so I offered him a story. He chose ‘Guess who loves me in the summer?’ It focused on colours so I changed the sensory lights in my office just above the sofa to demonstrate the different colours. We then practised some makaton signs for foods. I saw Fela looked tired so I prompted him to lie down for 30 minutes. when he woke up he was very sweaty even though I had covered him with a light cotton sheet.

After dinner, Fela initiated dancing but kept sitting down intermittently. He was not keen on the gym ball. He probably danced for 10-15 minutes. He was in a good mood for most of the day especially the afternoon and evening. At the time of writing, he is splashing in the bath.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 2a – Vocal Fela has been vocal on and off for most of the day, and had to be reminded to “relax” and “be quiet” on several occasions. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Gym workout.